Active NPI
Laurie Ann Archer, LMSW, MS
- Social Worker
- New York, NY
National Provider Identifier
1114686144
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 063151
- Practice address
- 1309 5TH Ave Apt 25H
New York, NY 10029-3127 - Phone
- (212) 722-1260
- NPI assigned
- Dec 17, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 063151 | NY | Primary |
Addresses
Primary practice location
1309 5TH Ave Apt 25H
New York, NY 10029-3127
Mailing address
1309 5TH Ave Apt 25H
New York, NY 10029-3127
Phone (212) 722-1260
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 061351 | Other | NY | LICENSED MASTERS SOCIAL WORKER |
| 063151 | Other | NY | LICESNED MASTERS SOCIAL WORKER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 063151 | NY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1639699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1639699200000",
"number": "1114686144",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1309 5TH AVE APT 25H",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100293127",
"telephone_number": "212-722-1260"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1309 5TH AVE APT 25H",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100293127",
"telephone_number": "212-722-1260"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARCHER",
"first_name": "LAURIE",
"middle_name": "ANN",
"credential": "LMSW, MS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-12-17",
"last_updated": "2021-12-17",
"certification_date": "2021-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "063151",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSED MASTERS SOCIAL WORKER",
"identifier": "061351",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICESNED MASTERS SOCIAL WORKER",
"identifier": "063151",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.